Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.02 / $358.38 / $658.61	Professional		$307.02	$358.38	$658.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.01 / $67.33 / $138.38	Professional	26	$61.01	$67.33	$138.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.29 / $281.29 / $586.99	Professional		$281.29	$281.29	$586.99
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.97 / $31.97 / $66.70	Professional	26	$31.97	$31.97	$66.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $444.19 / $444.19 / $519.70	Professional		$444.19	$444.19	$519.70
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $86.38 / $86.38 / $111.34	Professional	26	$86.38	$86.38	$111.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.81 / $332.94 / $830.20	Professional		$182.81	$332.94	$830.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.77 / $43.55 / $142.79	Professional	26	$34.77	$43.55	$142.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $469.71 / $618.65 / $1,068.58	Professional		$469.71	$618.65	$1,068.58
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $72.27 / $93.95 / $118.05	Professional	26	$72.27	$93.95	$118.05
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $125.00 / $140.99 / $241.00	Facility	26	$125.00	$140.99	$241.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $426.00 / $1,065.00	Professional		$99.00	$426.00	$1,065.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $115.55 / $684.74 / $936.19	Professional		$115.55	$684.74	$936.19
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $78.52 / $113.31 / $169.42	Professional	26	$78.52	$113.31	$169.42
United Facility/Professional Professional Modifier Low / Median / High Price $234.47 / $394.10 / $788.20	Professional		$234.47	$394.10	$788.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.68 / $79.47 / $143.05	Professional	26	$47.68	$79.47	$143.05